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General NPI Number Information
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NPI Number | 1679111074
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Entity Type | Organization
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Legal Business Name | FAMILY PHARMACY INC
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Dates
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Enumeration Date | 12/16/2019
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Last Update Date | 12/16/2019
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Provider Practice Location Address
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Address Line | 10503 W THUNDERBIRD BLVD STE 101B
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City | SUN CITY
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State | AZ
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Zip | 85351-2719
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Country | US
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Telephone | 623-974-3555
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Fax |
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Provider Business Mailing Address
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Address Line | 6720 N 61ST AVE
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City | GLENDALE
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State | AZ
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Zip | 85301-3109
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Country | US
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Telephone | 602-800-3336
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Fax |
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Authorized Official
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Title or Position | PHARMACIST IN CHARGE
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Name | LOUY M AL ATTEELI
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Credential |
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Telephone | 602-800-3336
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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